| NPI | 1730915836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLANLE BABAJIDE-GBENGA Pmhnp Bc 404-399-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |